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This chapter is set out as follows: History Clinical findings Images Management History Mucosal melanocytic macules are more common in women than men The age at onset is approximately 30 years Clinical findings Distribution The lips are the most common site, especially the central third of the lower lip Morphology Lesions present as brown-black macules, and are usually solitary - s everal lesions should increase the suspicion of a systemic condition such as Peutz-Jeghers syndrome, Addison's disease and multiple lentiginoses (eg the Leopard syndrome) Size - under 1 cm in diameter Once developed the lesions usually remain unchanged in size and colour Dermoscopic examination of oral and genital lesions Benign lesions - diffuse pigmentation with a peculiar parallel pattern of partially linear and partially curvilinear light-brown to dark-brown streaks Melanoma - the combination of blue, grey, or white colour with structureless zones are the strongest indicators of mucosal melanoma Clinical Images Please refer to notes on image rights at bottom of the page with regards to individual image ownership

We performed a literature search using Google Scholar and PubMed with the keywords migraine, IIH, bariatric surgery, gastric banding, gastric sleeve, gastric bypass, weight loss medications, glucagon-like peptide 1 receptor agonists (GLP-1 RAs), lipase inhibitors, and sympathomimetic amines

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Equipment checklist BPC-157 lyophilised vial (confirm mg amount on label) Bacteriostatic water (BAC water) for injection, 30 ml supply minimum 1 ml or 2 ml luer-lock syringe for reconstitution 29-31 gauge, 0.5 inch insulin syringe for drawing and injecting Alcohol swabs Sharps container Standard reconstitution formula The formula: (BAC water added in ml) x 1000 / (peptide amount in mcg) = mcg per ml